| NPI | 1619472925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME179867) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 318784) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2026-04-17 |